CDK9 inhibition inhibits multiple oncogenic transcriptional and epigenetic pathways in prostate cancer
Razia Rahman1, Muhammed H Rahaman2, Adrienne R Hanson1
1Flinders University, College of Medicine and Public Health, Flinders Health and Medical Research Institute, Bedford Park, SA, Australia.
Background:
Cyclin-dependent kinase 9 (CDK9) stimulates oncogenic transcriptional pathways in cancer and CDK9 inhibitors have emerged as promising therapeutic candidates.
Methods:
The activity of an orally bioavailable CDK9 inhibitor, CDKI-73, was evaluated in prostate cancer cell lines, a xenograft mouse model, and patient-derived tumor explants and organoids. Expression of CDK9 was evaluated in clinical specimens by mining public datasets and immunohistochemistry. Effects of CDKI-73 on prostate cancer cells were determined by cell-based assays, molecular profiling and transcriptomic/epigenomic approaches.
Results:
CDKI-73 inhibited proliferation and enhanced cell death in diverse in vitro and in vivo models of androgen receptor (AR)-driven and AR-independent models. Mechanistically, CDKI-73-mediated inhibition of RNA polymerase II serine 2 phosphorylation resulted in reduced expression of BCL-2 anti-apoptotic factors and transcriptional defects. Transcriptomic and epigenomic approaches revealed that CDKI-73 suppressed signaling pathways regulated by AR, MYC, and BRD4, key drivers of dysregulated transcription in prostate cancer, and reprogrammed cancer-associated super-enhancers. These latter findings prompted the evaluation of CDKI-73 with the BRD4 inhibitor AZD5153, a combination that was synergistic in patient-derived organoids and in vivo.
Conclusion:
Our work demonstrates that CDK9 inhibition disrupts multiple oncogenic pathways and positions CDKI-73 as a promising therapeutic agent for prostate cancer, particularly aggressive, therapy-resistant subtypes.
Insights
Cyclin-dependent kinase 9 (CDK9) inhibitors like CDKI-73 show promise for treating prostate cancer by disrupting key cancer pathways. Combination therapy with BRD4 inhibitors may enhance effectiveness, especially in resistant cases.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Cyclin-dependent kinase 9 (CDK9) plays a crucial role in activating oncogenic transcriptional pathways in various cancers.
- CDK9 inhibitors represent a significant advancement in cancer therapy development.
- Prostate cancer, especially aggressive subtypes, presents a need for novel therapeutic strategies.
Purpose of the Study:
- To evaluate the efficacy of the orally bioavailable CDK9 inhibitor, CDKI-73, in preclinical models of prostate cancer.
- To elucidate the molecular mechanisms underlying CDKI-73's anti-cancer effects.
- To explore combination therapies involving CDKI-73 for enhanced therapeutic outcomes.
Main Methods:
- In vitro and in vivo studies using prostate cancer cell lines, xenograft models, and patient-derived organoids.
- Assessment of CDK9 expression in clinical specimens via public datasets and immunohistochemistry.
- Molecular profiling, including transcriptomic and epigenomic analyses, to understand CDKI-73's impact on cellular pathways.
Main Results:
- CDKI-73 demonstrated significant inhibition of proliferation and induction of cell death in both androgen receptor (AR)-driven and AR-independent prostate cancer models.
- CDKI-73 suppressed RNA polymerase II activity, leading to decreased expression of anti-apoptotic factor BCL-2 and other transcriptional defects.
- CDKI-73 reprogrammed super-enhancers and suppressed key oncogenic pathways involving AR, MYC, and BRD4.
- Combination of CDKI-73 with a BRD4 inhibitor (AZD5153) showed synergistic effects in patient-derived organoids and in vivo models.
Conclusions:
- CDK9 inhibition effectively disrupts multiple oncogenic transcriptional pathways crucial for prostate cancer progression.
- CDKI-73 exhibits significant therapeutic potential as a single agent and in combination therapies for prostate cancer.
- CDKI-73 is particularly promising for treating aggressive and therapy-resistant forms of prostate cancer.
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